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Ligilactobacillus Salivarius Drug Interactions, Uses, Effectiveness, Safety & More

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Ligilactobacillus Salivarius Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated August 2026

Based on the available evidence, the overall risk of a clinically significant Ligilactobacillus Salivarius drug interaction appears low for most people, because the main concern is medications weakening the probiotic rather than the probiotic causing harm. None of the listed interactions are rated major, and all of them come down to a single, well-understood issue with one class of medications.

Interactions deserving the most attention

The only interaction that stands out involves antibiotics. Because Ligilactobacillus salivarius products contain live bacteria, taking an antibiotic at the same time can kill many of those organisms and make the probiotic less effective. This does not make the antibiotic less safe or less effective; the effect runs in one direction, toward the supplement. Separating the two in time is the usual approach, and your pharmacist can advise on spacing that fits your antibiotic.

What the rest of the list means

Although the number of listed medications looks large, nearly all of them are simply individual antibiotics counted one by one, reflecting the same single concern. This is largely a theoretical effect on the probiotic itself, not evidence that these combinations harm people or change how the medications work.

Check your medications against Ligilactobacillus Salivarius

Based on HelloPharmacist’s Ligilactobacillus Salivarius interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Ligilactobacillus Salivarius

182 medications have a known interaction with Ligilactobacillus Salivarius, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
AmikacinAmikin, Arikayce› AmoxicillinAmix, Amoram, Amoxident, Amoxil Capsules, Amoxil Injection, Galenamox +3 more› Amoxicillin VeterinaryBiomox› Amoxicillin, Clavulanate PotassiumAugmentin, Augmentin '125/31 SF', Augmentin '250/62 SF', Augmentin XR, Augmentin-Duo 400/57, Clavulin› Amoxicillin, Omeprazole Magnesium, RifabutinTalicia› Amphotericin, TetracyclineMysteclin-F› AmpicillinOmnipen, Omnipen-N, Penbritin, Principen, Rimacillin› Ampicillin, SulbactamUnasyn› Avibactam Sodium, CeftazidimeAvycaz› AzithromycinAzasite, Zithromax, Zmax› AztreonamAzactam› BacampicillinPenglobe› BacitracinBaci-IM, Baciguent, Bacitracin Ointment› BenznidazoleBenznidazole› Bismuth Subsalicylate, Metronidazole, TetracyclineHelidac› CapreomycinCapastat› Carbenicillin Indanyl SodiumGeocillin› CefaclorCeclor, Ceclor CD› CefadroxilCef-Tab, Duricef, Ultracef› CefamandoleMandol› CefazolinAncef› CefdinirOmnicef› Cefditoren PivoxilSpectracef› CefepimeMaxipime› Cefiderocol Sulfate TosylateFetroja› CefiximeSuprax› CefmetazoleZefazone› CefonicidMonocid› CefoperazoneCefobid› CefotaximeClaforan›
Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Ligilactobacillus Salivarius combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Ligilactobacillus Salivarius affects

Every type of medication (drug category) Ligilactobacillus Salivarius is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 1 drug category Ligilactobacillus Salivarius interacts with
Antibiotic Drugs
Antibiotic Drugs

Theoretically, taking Ligilactobacillus salivarius with antibiotic drugs might decrease the effectiveness of L. salivarius.
Ligilactobacillus salivarius preparations usually contain live and active organisms. Therefore, simultaneously taking antibiotics might kill a significant number of the organisms. Tell patients to separate administration of antibiotics and L. salivarius preparations by at least two hours.

Likelihood Probable Evidence D
Monograph

Ligilactobacillus Salivarius: Uses, Safety & Side Effects

The bottom line

Ligilactobacillus salivarius (formerly called Lactobacillus salivarius) is a probiotic bacterium found naturally in the mouth and gut of humans and animals. People take it to support digestion, oral health, and immunity, but solid human evidence is still limited for most uses. It is generally well tolerated in healthy people, but those with weakened immune systems should check with a doctor first.

Scientific name
Ligilactobacillus salivarius
Family
Lactobacillaceae
Part used
Live bacterial cells (probiotic strain)
Common forms
Capsules, tablets, chewable tablets, powders, and some fortified foods or oral lozenges
People commonly use it for
  • Digestive and gut health
  • Oral and dental health
  • Immune support
  • Vaginal and urinary health
  • General probiotic supplementation

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Generally well tolerated in healthy people, but caution is advised for those who are seriously ill or immunocompromised.

PregnancyPossibly Safe

When used orally and appropriately. Ligilactobacillus salivarius has been safely used from about 30 weeks' gestation or diagnosis of gestational diabe...

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

There is insufficient reliable information available about the safety of Ligilactobacillus salivarius during lactation. However, there are currently n...

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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Overview

Ligilactobacillus salivarius is a type of friendly bacteria, or probiotic. It was previously named Lactobacillus salivarius, but scientists reclassified it in 2020 into the new genus Ligilactobacillus. You may still see it listed under its old name on many supplement labels.

This bacterium lives naturally in the human mouth, intestines, and sometimes the vagina. It is also found in some animals and foods. Because it can survive in different parts of the body and may produce substances that limit the growth of harmful bacteria, it has become a popular ingredient in probiotic products.

People take it most often as capsules, tablets, powders, or oral lozenges. It is sometimes combined with other probiotic strains in multi-strain products.

How it works

Probiotics like Ligilactobacillus salivarius are thought to work in several ways. They may help crowd out harmful bacteria by competing for space and nutrients in the gut or mouth.

Some strains produce lactic acid and other substances called bacteriocins, which can slow the growth of certain unwanted bacteria. They may also interact with the cells that line the gut and with the immune system, possibly helping to support a normal immune response.

It is important to know that much of this information comes from laboratory and animal studies. How well these effects translate to real benefits in people is still being studied.

Effectiveness

Does Ligilactobacillus Salivarius work?

Evidence overview · 17 uses evaluated
17 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.

For Ligilactobacillus Salivarius, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 17 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Antibiotic-associated diarrhea
Rating & evidence shown verbatim from Natural Medicines

Oral Ligilactobacillus salivarius has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Asthma
Rating & evidence shown verbatim from Natural Medicines

Oral Ligilactobacillus salivarius has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Atopic dermatitis (eczema)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Ligilactobacillus salivarius is beneficial for atopic dermatitis.

Insufficient Reliable Evidence To Rate Bacterial vaginosis
Rating & evidence shown verbatim from Natural Medicines

Vaginal Ligilactobacillus salivarius has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Dental caries
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral heat-killed or viable Ligilactobacillus salivarius is beneficial for preventing dental caries.

Insufficient Reliable Evidence To Rate Dental plaque
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral heat-killed or viable Ligilactobacillus salivarius is beneficial for preventing dental plaque.

Insufficient Reliable Evidence To Rate Diabetes
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Ligilactobacillus salivarius is beneficial for gestational diabetes.

Insufficient Reliable Evidence To Rate Exercise-induced respiratory infections
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Ligilactobacillus salivarius is beneficial for preventing exercise-induced respiratory infections.

Insufficient Reliable Evidence To Rate Gout
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Ligilactobacillus salivarius is beneficial for patients with gout.

Insufficient Reliable Evidence To Rate Group B streptococcal colonization
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Ligilactobacillus salivarius is beneficial for eradication of group B streptococcal (GBS) colonization during pregnancy.

Insufficient Reliable Evidence To Rate Halitosis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Ligilactobacillus salivarius is beneficial for halitosis.

Insufficient Reliable Evidence To Rate Irritable bowel syndrome (IBS)
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral Ligilactobacillus salivarius for IBS, there is insufficient reliable information about the clinical effects of L. salivarius for this condition.

Insufficient Reliable Evidence To Rate Mastitis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Ligilactobacillus salivarius is beneficial for mastitis prevention or treatment.

Insufficient Reliable Evidence To Rate Otitis media
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Ligilactobacillus salivarius is beneficial for otitis media prevention.

Insufficient Reliable Evidence To Rate Periodontitis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral Ligilactobacillus salivarius is beneficial for periodontitis.

Insufficient Reliable Evidence To Rate Pregnancy-induced nausea and vomiting
Rating & evidence shown verbatim from Natural Medicines

Oral Ligilactobacillus salivarius has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Ulcerative colitis
Rating & evidence shown verbatim from Natural Medicines

Oral Ligilactobacillus salivarius has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.

Safety & precautions

For most healthy people, Ligilactobacillus salivarius is considered generally well tolerated when taken as directed. However, probiotics are living organisms, and safety depends on your overall health.

People who are seriously ill, have weakened immune systems, have central venous catheters, or are recovering from major surgery should be cautious. In rare cases, probiotics have been linked to serious infections in such individuals. These people should only use probiotics under medical supervision.

Because there is limited safety information, those who are pregnant or breastfeeding should talk to their doctor or pharmacist before using this probiotic. The same goes for giving it to infants or young children.

Choose products from reputable manufacturers, since supplement quality is not tightly regulated.

Side effects

Side effects are usually mild. The most common ones are digestive, such as gas, bloating, or mild stomach discomfort, especially in the first few days of use. These often settle as your body adjusts.

Rare but serious side effects, such as bloodstream infections (bacteremia), have mainly been reported in people who are very ill or have weakened immune systems. If you develop fever, severe stomach pain, or signs of infection, stop using it and seek medical care.

Ligilactobacillus Salivarius: Reported Adverse Effects

Documented safety reports on Ligilactobacillus Salivarius from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Reports by condition
Diabetes Immunologic

Since Ligilactobacillus salivarius preparations contain live and active microorganisms, there is some concern that they might cause pathogenic infection in some patients. Some lactobacilli species have been isolated in cases of bacteremia, sepsis, splenic abscess, endocarditis, necrotizing fasciitis, pancreatic necrosis, and meningoencephalitis. These cases are thought to be due to the translocation of bacteria from other locations in the body in which they occur naturally, such as the oral cavity, or the gastrointestinal or urogenital tract, and not to dietary or supplemental intake. There are such examples of L. salivarius infection. In one case, a male developed an intrabdominal abscess following gastric bypass surgery. In another, a 56-year-old male with diabetes and a previous gastrectomy developed bacteremia and empyema with respiratory failure.

  1. Rossi F, Amadoro C, Gasperi M, Colavita G. Lactobacilli infection case reports in the last three years and safety implications. Nutrients. 2022;14(6):1178.
  2. Ranchal P, Gupta R, Goldberg R, A Lobo S, Pascual A, El Khoury MY. Penicillin-sensitive Lactobacillus jensenii bacteremia. Am J Ther 2021;28(2):e250-e252.
  3. Grazioli-Gauthier L, Rigamonti E, Leo LA, Martinetti Lucchini G, Lo Priore E, Bernasconi E. Lactobacillus jensenii mitral valve endocarditis: Case report, literature review and new perspectives. IDCases 2022;27:e01401.
  4. Toprak NU, Bozan T, Yilmaz S, Buyukbayrak EE, Tigen ET. Polymicrobial bacteremia due to Lactobacillus jensenii and Veillonella montpellierensis in a pregnant patient; case report and review of literature. Anaerobe 2022;75:102576.
  5. Chazan B, Raz R, Shental Y, Sprecher H, Colodner R. Bacteremia and pyelonephritis caused by Lactobacillus jensenii in a patient with urolithiasis. Isr Med Assoc J 2008;10(2):164-5.
  6. Wang HK, Teng LJ, Chen YC, Du SH, Hsueh PR. Lactobacillus salivarius empyema with respiratory failure. J Microbiol Immunol Infect 2017;50(6):923-925.
  7. García Carretero R, Regodon Dominguez M, Ruiz Bastian M, Lopez Lomba M. Lactobacillus salivarius infection as a postoperative complication after bariatric surgery. Enferm Infecc Microbiol Clin (Engl Ed) 2018;36(1):60-61.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no official standardized dose for Ligilactobacillus salivarius. Probiotic doses are usually measured in colony-forming units (CFUs), and the amount varies widely between products.

The best approach is to follow the directions on the product label, since doses are tied to the specific strain and formulation. If you are unsure how much to take or whether it is right for you, ask your pharmacist or doctor for guidance.

Pregnancy & Breastfeeding

Ligilactobacillus Salivarius & Breastfeeding

Insufficient reliable information

There is insufficient reliable information available about the safety of Ligilactobacillus salivarius during lactation. However, there are currently no reasons to expect safety concerns when used appropriately.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 10 references that drive our Ligilactobacillus Salivarius monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
  2. Lindsay KL, Brennan L, Kennelly MA, et al. Impact of probiotics in women with gestational diabetes mellitus on metabolic health: a randomized controlled trial. Am J Obstet Gynecol. 2015;212(4):496.e1-11. PubMed
  3. Fernández L, Cárdenas N, Arroyo R, et al. Prevention of Infectious Mastitis by Oral Administration of Lactobacillus salivarius PS2 During Late Pregnancy. Clin Infect Dis. 2016;62(5):568-573.
  4. Rossi F, Amadoro C, Gasperi M, Colavita G. Lactobacilli infection case reports in the last three years and safety implications. Nutrients. 2022;14(6):1178. PubMed
  5. Ranchal P, Gupta R, Goldberg R, A Lobo S, Pascual A, El Khoury MY. Penicillin-sensitive Lactobacillus jensenii bacteremia. Am J Ther 2021;28(2):e250-e252. PubMed
  6. Grazioli-Gauthier L, Rigamonti E, Leo LA, Martinetti Lucchini G, Lo Priore E, Bernasconi E. Lactobacillus jensenii mitral valve endocarditis: Case report, literature review and new perspectives. IDCases 2022;27:e01401. PubMed
  7. Toprak NU, Bozan T, Yilmaz S, Buyukbayrak EE, Tigen ET. Polymicrobial bacteremia due to Lactobacillus jensenii and Veillonella montpellierensis in a pregnant patient; case report and review of literature. Anaerobe 2022;75:102576. PubMed
  8. Chazan B, Raz R, Shental Y, Sprecher H, Colodner R. Bacteremia and pyelonephritis caused by Lactobacillus jensenii in a patient with urolithiasis. Isr Med Assoc J 2008;10(2):164-5.
  9. Wang HK, Teng LJ, Chen YC, Du SH, Hsueh PR. Lactobacillus salivarius empyema with respiratory failure. J Microbiol Immunol Infect 2017;50(6):923-925. PubMed
  10. García Carretero R, Regodon Dominguez M, Ruiz Bastian M, Lopez Lomba M. Lactobacillus salivarius infection as a postoperative complication after bariatric surgery. Enferm Infecc Microbiol Clin (Engl Ed) 2018;36(1):60-61. DOI
Keep reading

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Pharmacist Counseling Corner

Ligilactobacillus Salivarius: Common Questions

What is Ligilactobacillus Salivarius used for, and does it work?
People use Ligilactobacillus Salivarius for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Ligilactobacillus Salivarius interact with prescription medications?
Yes. We list 182 medications with a known interaction with Ligilactobacillus Salivarius. Use the checker above to see how Ligilactobacillus Salivarius interacts with a specific drug.
How are Ligilactobacillus Salivarius interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Ligilactobacillus Salivarius with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Ligilactobacillus Salivarius interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Ligilactobacillus Salivarius used for?
It is a probiotic that people commonly use to support gut health, oral and dental health, and immune function. Solid human evidence is still limited, so it should not be viewed as a proven treatment for any condition.
Is Ligilactobacillus Salivarius the same as Lactobacillus salivarius?
Yes. It was reclassified and renamed in 2020, so the older name Lactobacillus salivarius refers to the same bacterium. You may see either name on supplement labels.
Is it safe to take every day?
For most healthy people, daily use as directed is generally well tolerated. People who are seriously ill or have weakened immune systems should check with a doctor first.
Can I take it while pregnant or breastfeeding?
There is limited safety information for these situations, so it is best to talk with your doctor or pharmacist before using it during pregnancy or breastfeeding.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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